Accountants for Private Hospitals, Clinics & Care Homes
Accountants for Hospitals in Melbourn Cambs
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Hospitals and Hospital Organisations We Support
Private Hospitals & Day Surgery Units
Insurer and self-pay income reconciliation, consultant fee arrangements, statutory accounts and management reporting by department.
Care Homes & Nursing Homes
Occupancy and fee income tracking, local authority and private resident billing, agency staff cost control and CQC-ready records.
Specialist & Outpatient Clinics
VAT partial exemption on mixed medical and cosmetic work, capital allowances on theatre and imaging equipment, and payroll for clinical teams.
Multi-Site Healthcare Groups
Consolidated accounts, intercompany recharges, group VAT and site-by-site profitability reporting for expanding providers.
Our Accounting Services for Hospitals
Corporation Tax & Capital Allowances
Full expensing and Annual Investment Allowance claims on theatre, imaging and ward equipment, plus group relief and tax planning.
Bookkeeping & VAT Partial Exemption
Healthcare is largely VAT exempt, but cosmetic work, pharmacy sales, catering and room hire are not. We calculate partial exemption correctly.
Statutory & Management Accounts
Companies House and HMRC filings on time, plus monthly management accounts showing income and margin by department or site.
Payroll for Clinical & Agency Staff
Large-volume payroll including bank and agency shifts, unsocial hours, statutory pay and pension auto-enrolment, filed accurately every cycle.
NHS Pension & Consultant Payments
NHS Pension administration and support for consultants on Annual Allowance, plus correct treatment of self-employed consultant fees.
Key Accounting Challenges Hospitals Face
Why Hospitals in Melbourn Cambs Choose CruseBurke
Healthcare Finance Expertise
We understand NHS funding, insurer income, consultant fee models and care home fee structures.
Reporting Built for Boards
Management accounts by department, site or service line, ready for the board pack each month.
VAT Partial Exemption Handled
We calculate and document the exempt and taxable split so recoverable input VAT is not lost.
Payroll at Scale
Bank shifts, agency cover, unsocial hours and auto-enrolment processed accurately every cycle.
Compliance Without the Stress
Accounts, returns and payroll filed on time, with records that stand up to funder and CQC scrutiny.
Fair, Fixed Fees
Clear pricing agreed up front, so you get full expert service with no hidden extras.
Our Simple 3-Step Process for Hospitals
1. Initial Consultation (It’s Free):
We begin by getting to know your practice and understanding your unique needs. This step ensures we have a clear picture of your operations and your goals.
2. Customised Plan:
Based on our initial discussion, we create a personalised plan designed specifically for you. The aim is to keep everything organised and easy to follow. You can rest assured that your numbers are being handled with expert precision.
3. Ongoing Support & Updates:
From there, we take care of the ongoing work and keep you updated with reports. You’ll always know what’s happening, and we’re always here to answer your questions, ensuring you have a clear picture of your financial health at all times.
Accounting Support Built Around Hospitals
Technology Driven
Using the latest technology to offer customised financial strategies that help healthcare practices grow and thrive.
Named Healthcare Accountant
A dedicated accountant who knows your sites, your income mix and your reporting deadlines.
Ongoing Support
Our team is here whenever you need guidance. We offer unlimited support to ensure your financial management is always on point.
Experienced Team
Our team has over 100 years of combined accountancy experience.
Free - Email Reminders
Never Miss any deadline with our automated email reminders.
Yes, We Are Chartered!
We’re an ICAEW, ACCA & AAT accredited Firm.
How to Switch to CruseBurke
Take a back seat and let our accountants handle everything. Switching partway through the year is straightforward, and we deal with your old accountant for you:
Get in touch
Tell us about your hospital and current accounting requirements.
Letter of Engagement
We’ll send over a simple letter to formalise our partnership and get everything in motion.
Previous Accountants
If you're switching, we’ll take care of contacting your previous accountants to make the transition smooth.
We Do the Rest
From there, sit back and relax. We’ll manage your accounts, taxes, and everything in between, keeping your practice running smoothly.
FAQs About Accountants for Hospitals
We work with private hospitals, independent hospitals, hospital operators and hospital groups in Melbourn Cambs and beyond, ranging from single-site facilities to organisations operating across multiple locations or service lines. The accounting requirements of a hospital can differ significantly depending on its structure, the services it provides, the mix of income streams it relies on and how its staffing and premises are arranged. We take those differences into account when shaping the support, rather than applying the same approach to every hospital business.
Our hospital accounting support typically covers bookkeeping, annual accounts, management accounts, payroll, budgeting, cash flow planning, financial reporting, tax support including Corporation Tax where applicable, and VAT support where relevant. In practice these services are tied to hospital-specific areas such as staff costs, medical equipment and capital expenditure, premises and facilities, supplier payments, professional services and the different income streams a hospital generates. We agree the scope with you so it matches what your hospital actually needs.
Yes. Payroll for a hospital often involves a large and varied workforce, and it can include shift patterns, overtime, different contract types and staff across clinical, administrative and support functions. Getting payroll right matters both for your team and for your accounts, since staff costs are usually one of the largest expense lines in a hospital. We can manage payroll alongside your bookkeeping and management reporting so the numbers stay consistent across the board.
Management accounts give hospital operators a clearer view of how the business is performing between year-end reporting points, covering income by stream, staff costs, medical equipment spend, premises costs and other operating expenses. We prepare financial reporting that is accurate, timely and readable, so owners, directors and finance teams can see where margins are holding up and where costs are creeping. That visibility makes budgeting, investment decisions and conversations with lenders or investors considerably easier.
VAT treatment for hospitals depends on the nature of the supplies being made, the activities involved, the organisation's status and the specific circumstances — it is not a case of all hospital services or supplies being treated the same way. Some activities may be exempt, some may be standard-rated, and others may fall into different categories entirely. We review your position and help you apply the correct treatment, keep appropriate records and manage VAT reporting with confidence.
Yes. Where Corporation Tax applies to your hospital business, we can help with preparation and compliance, along with planning around how profits, investment and costs interact. Medical equipment and other capital expenditure often represent substantial outlays for hospitals, and the way those purchases are recorded and treated can affect your accounts, your tax position and your cash flow. We look at the wider picture so purchasing decisions are made with the financial consequences in mind.
We use fixed, transparent packages rather than open-ended hourly billing, so you know what you are committing to before work begins. The fee is based on what your hospital actually needs — for example whether you require bookkeeping, payroll, management accounts, annual accounts, VAT support or a combination of these. There are no hidden fees, and if your requirements change as the hospital grows or restructures, we review the arrangement with you openly.
Getting started is straightforward: we arrange an initial conversation to understand your hospital or hospital business, your current accounting and tax position, and what you want from ongoing support. If you are moving from another accountant, we can handle the transition, including requesting the relevant records and information so the process is as smooth as possible for you. From there we agree a scope, set up the services you need and begin working with you on a regular basis.